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PATHOPHARMOCOLOGY

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Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)

Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)

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Med Labeling (Cheatsheet)

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Outline

Labeling (Medications, Solutions, Containers)

Guidelines:

At time of draw, always
- Date, concentration, drug
- Pre-made stickers best but beware
- Color coded
Multi-dose label opened date
- Not for more than one case
Cannot be left around OR
Label on field! When placed
- Container, syringe, etc
- Yes also NS and SW
Record amount from field as used
- Anticipate need for turnover

Considerations:

Pre-filled doses best
Verify meds on field with board, time out, RN to place on field with tech
Yes, label propofol we know its white too bad
If mixed up on field, discard, restart
Omnipaque vs Visipaque
- Visipaque isosmotic to blood
- Omnipaque not for blood

Nurse’s role:

Often pull meds from pharmacy/pyxis
- Not always, MD to bring from clinic OK with RN verification
Document administration
Verify labeling, dosage, etc
Police the OR

Pitfalls:

Not labeling concentration
Non-standard color code
Emergent staff relief, nothing written
- How many syringes did you start with?
SW and NS mixup
- Crani!
Unique mixes (not 50/50)
Local toxicity with mix

Examples:

Local and vasopressin labeled on field, drawn into syringe. Later notice syringe not labeled (discard syringes, restart from
known accurate label or from beginning)

Linchpins (Key Points):

No medication error is made knowingly, and the OR removes most safety rails to med administration

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Transcript

References

Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative
Practice (2022 ed.).

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PATHOPHARMOCOLOGY

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Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Drawing Blood from the IV

Geriatric: IV Insertion

Giving Medication Through An IV Set Port

Hanging an IV Piggyback

How to Remove (discontinue) an IV

How to Secure an IV (chevron, transparent dressing)

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Injectable Medications

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Interactive Pharmacology Practice

Interactive Practice Drip Calculations

IV Catheter Selection (gauge, color)

IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)

IV Drip Administration & Safety Checks

IV Drip Therapy – Medications Used for Drips

IV Infusions (Solutions)

IV Insertion Angle

IV Insertion Course Introduction

IV Placement Start To Finish (How to Start an IV)

IV Pump Management

IV Push Medications

Ketorolac (Toradol) Nursing Considerations

Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)

Lidocaine (Xylocaine) Nursing Considerations

Magnesium Sulfate

Magnesium Sulfate in Pregnancy

Maintenance of the IV

Mannitol (Osmitrol) Nursing Considerations

Medication Errors

Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)

Medications in Ampules

Meds for Postpartum Hemorrhage (PPH)

Meperidine (Demerol) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Mood Stabilizers

Nalbuphine (Nubain) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

NG Tube Med Administration (Nasogastric)

NG Tube Medication Administration

Nitro Compounds

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Olanzapine (Zyprexa) Nursing Considerations

Opioid Analgesics in Pregnancy

Oral Medications

Oxycodone (OxyContin) Nursing Considerations

Pain Management for the Older Adult – Live Tutoring Archive

Pain Management Meds – Live Tutoring Archive

Parasympathomimetics (Cholinergics) Nursing Considerations

Patient Controlled Analgesia (PCA)

Pediatric Dosage Calculations

Pentobarbital (Nembutal) Nursing Considerations

Pharmacodynamics

Pharmacokinetics

Pharmacokinetics Nursing Mnemonic (ADME)

Pharmacology Course Introduction

Phenobarbital (Luminal) Nursing Considerations

Phytonadione (Vitamin K) for Newborn

Pill Crushing & Cutting

Procainamide (Pronestyl) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Rh Immune Globulin in Pregnancy

Sedatives-Hypnotics

Sedatives-Hypnotics

Selecting THE vein

Spiking & Priming IV Bags

Streptokinase (Streptase) Nursing Considerations

Struggling with Dimensional Analysis? – Live Tutoring Archive

SubQ Injections

Supplies Needed

Tattoos IV Insertion

The SOCK Method – C

The SOCK Method – K

The SOCK Method – O

The SOCK Method – Overview

The SOCK Method – S

Tips & Advice for Newborns (Neonatal IV Insertion)

Tips & Advice for Pediatric IV

Understanding All The IV Set Ports

Using Aseptic Technique

Verapamil (Calan) Nursing Considerations